Pneumocele--a rare cause of air in the orbit.

Abstract:

PURPOSE:To report a case of unilateral proptosis and chronic pansinusitis in which the diagnosis of pneumocele was made. DESIGN:Observational case report. METHODS:A retrospective chart review was made. RESULTS:A 52-year-old man with chronic pansinusitis presented with a 5-mm proptosis and a larger palpebral fissure in the left eye. Computed tomography imaging demonstrated an air-filled mass originating from the frontal sinus and protruding into the orbit. After endoscopic sinusotomy and excision of the mucosal sac through anterior orbitotomy, proptosis improved to 3 mm and palpebral fissures became symmetric. CONCLUSIONS:A pneumocele is a rare lesion of the paranasal sinuses that may expand into the orbit and may present with proptosis or motility deficit to the ophthalmologist. Through proper diagnosis and surgical management, the orbital symptoms will resolve.

journal_name

Am J Ophthalmol

authors

Boulos PR,Bernardino CR,Rubin PA

doi

10.1016/j.ajo.2004.02.054

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

168-9

issue

1

eissn

0002-9394

issn

1879-1891

pii

S0002939404002375

journal_volume

138

pub_type

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